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Texas rates for HCPCS 21040

Excision Benign Tumor/Cyst Mandible Encl & Curt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.61 / $2,550.00 / $7,542.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.98 / $448.18 / $683.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,138.17 / $4,059.90 / $7,831.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.27 / $446.82 / $723.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $329.35 / $330.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.32 / $614.32 / $614.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.30 / $568.21 / $889.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.52 / $11,500.00 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,085.00 / $3,387.60 / $3,904.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.99 / $511.50 / $850.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.08 / $612.23 / $816.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $250.00 / $250.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.33 / $514.00 / $880.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.66 / $612.19 / $943.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,391.00 / $4,100.00 / $8,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.95 / $538.54 / $839.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.05 / $437.11 / $614.53